The Long-Baseline Neutrino Experiment: Exploring Fundamental Symmetries of the Universe

The preponderance of matter over antimatter in the early Universe, the dynamics of the supernova bursts that produced the heavy elements necessary for life and whether protons eventually decay --- these mysteries at the forefront of particle physics and astrophysics are key to understanding the early evolution of our Universe, its current state and its eventual fate. The Long-Baseline Neutrino Experiment (LBNE) represents an extensively developed plan for a world-class experiment dedicated to addressing these questions. LBNE is conceived around three central components: (1) a new, high-intensity neutrino source generated from a megawatt-class proton accelerator at Fermi National Accelerator Laboratory, (2) a near neutrino detector just downstream of the source, and (3) a massive liquid argon time-projection chamber deployed as a far detector deep underground at the Sanford Underground Research Facility. This facility, located at the site of the former Homestake Mine in Lead, South Dakota, is approximately 1,300 km from the neutrino source at Fermilab -- a distance (baseline) that delivers optimal sensitivity to neutrino charge-parity symmetry violation and mass ordering effects. This ambitious yet cost-effective design incorporates scalability and flexibility and can accommodate a variety of upgrades and contributions. With its exceptional combination of experimental configuration, technical capabilities, and potential for transformative discoveries, LBNE promises to be a vital facility for the field of particle physics worldwide, providing physicists from around the globe with opportunities to collaborate in a twenty to thirty year program of exciting science. In this document we provide a comprehensive overview of LBNE's scientific objectives, its place in the landscape of neutrino physics worldwide, the technologies it will incorporate and the capabilities it will possess.Comment: Major update of previous version. This is the reference document for LBNE science program and current status. Chapters 1, 3, and 9 provide a comprehensive overview of LBNE's scientific objectives, its place in the landscape of neutrino physics worldwide, the technologies it will incorporate and the capabilities it will possess. 288 pages, 116 figure

Mortality and pulmonary complications in patients undergoing surgery with perioperative SARS-CoV-2 infection: an international cohort study

Background: The impact of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) on postoperative recovery needs to be understood to inform clinical decision making during and after the COVID-19 pandemic. This study reports 30-day mortality and pulmonary complication rates in patients with perioperative SARS-CoV-2 infection. Methods: This international, multicentre, cohort study at 235 hospitals in 24 countries included all patients undergoing surgery who had SARS-CoV-2 infection confirmed within 7 days before or 30 days after surgery. The primary outcome measure was 30-day postoperative mortality and was assessed in all enrolled patients. The main secondary outcome measure was pulmonary complications, defined as pneumonia, acute respiratory distress syndrome, or unexpected postoperative ventilation. Findings: This analysis includes 1128 patients who had surgery between Jan 1 and March 31, 2020, of whom 835 (74·0%) had emergency surgery and 280 (24·8%) had elective surgery. SARS-CoV-2 infection was confirmed preoperatively in 294 (26·1%) patients. 30-day mortality was 23·8% (268 of 1128). Pulmonary complications occurred in 577 (51·2%) of 1128 patients; 30-day mortality in these patients was 38·0% (219 of 577), accounting for 81·7% (219 of 268) of all deaths. In adjusted analyses, 30-day mortality was associated with male sex (odds ratio 1·75 [95% CI 1·28–2·40], p\textless0·0001), age 70 years or older versus younger than 70 years (2·30 [1·65–3·22], p\textless0·0001), American Society of Anesthesiologists grades 3–5 versus grades 1–2 (2·35 [1·57–3·53], p\textless0·0001), malignant versus benign or obstetric diagnosis (1·55 [1·01–2·39], p=0·046), emergency versus elective surgery (1·67 [1·06–2·63], p=0·026), and major versus minor surgery (1·52 [1·01–2·31], p=0·047). Interpretation: Postoperative pulmonary complications occur in half of patients with perioperative SARS-CoV-2 infection and are associated with high mortality. Thresholds for surgery during the COVID-19 pandemic should be higher than during normal practice, particularly in men aged 70 years and older. Consideration should be given for postponing non-urgent procedures and promoting non-operative treatment to delay or avoid the need for surgery. Funding: National Institute for Health Research (NIHR), Association of Coloproctology of Great Britain and Ireland, Bowel and Cancer Research, Bowel Disease Research Foundation, Association of Upper Gastrointestinal Surgeons, British Association of Surgical Oncology, British Gynaecological Cancer Society, European Society of Coloproctology, NIHR Academy, Sarcoma UK, Vascular Society for Great Britain and Ireland, and Yorkshire Cancer Research

Sanitation policy and prevention of environmental contamination in South Africa

Prior to 1994, 21 million people were without access to sanitation in South Africa. Progress towards the backlog elimination started after 1994, but was slow-paced. From 1994 until 2011, the sanitation backlog has been decreased by between 29.8 and 79.2 % from the 1994 levels, depending on the province. Mechanisms were created for implementation of sanitation projects, but this was marginally successful and risk of environmental pollution from sanitation persisted. The period between 2009 and present day seemed to have brought on a significant fast-tracking of sanitation project around South Africa. This coincides with the transfer of oversight and partial implementation responsibility to the Department of Human Settlement and the launch of the Rural Household Infrastructure Programme. It also originated from the integrated programmes which drew in input from all stakeholders at the national and local government levels. Limitations still exist in maintenance and sanitation skills’ portfolio of some local municipalities, mainly in the Eastern Cape and Limpopo Province. However, the present status is still in partial conflict with government aims, legislation and policies. Novel tools such as the Technology Assessment and the Environmental Technology Assessment will have to be implemented in the sanitation decision-making and the novel strategies for skills development will have to be devised. If sufficient maintenance skills are developed in a local municipal area, then this will prevent negative environmental effects and results in lowered sanitation-related environmental contamination. Improvement in can be expected from the new national Department of Water Affairs and Sanitation

Paper recycling patterns and potential interventions in the education sector: A case study of paper streams at Rhodes University, South Africa

This paper considers the use of paper by academics and student computer laboratories at Rhodes University as a basis for identifying areas to reduce the amounts used and increase rates of recycling. A sample of 50 academic staff monitored the volume and purpose of the paper they used over 5 months, and the procurement officers in all the academic departments were interviewed regarding the total amount of paper used per academic department. Mean use was 34 ± 20 new sheets of paper per working day, of which 3% were trashed, 15% were kept for later use (as scrap or printed on the opposite side) and 79% were given out as notes to students, filed as records or posted out as mail to other departments or institutions. There was a significant relationship between number of students served by a department and the overall demand for paper, as well the number of staff per department and the number of recycling bins. The university could save approximately US$7000 per year for every 10$ 20,000 per year in direct costs, and more in reduced waste streams, as well as help promote the environmental image of the university. On a per unit basis, the higher costs for a double-sided printer in offices would be repaid in 9 months or less through reduced paper use

Mulch tower treatment system for greywater reuse Part II: destructive testing and effluent treatment

The mulch tower (MT) system described in Part I was tested to failure to determine its range of operating conditions. An increase in the influent temperature led to a statistically significant release of components of the chemical oxygen demand (COD) and the five day biochemical oxygen demand (BOD5), as well as phosphates from the MT system. Heterotrophic plate count (HPC) of the mulch layer dropped from 1.2 (± 0.6) × 106/g dry weight to 1.5 (± 0.3) × 105/g dry weight of the mulch layer with increases of the influent temperature. This indicates that the increase in influent temperature killed off some of the active biomass in the MT biofilm. After a five day drying period under active aeration, the MT system retained the ability to remove COD, total suspended solids (TSS), and nitrates. Greywater treatment by the MT system became impossible after a 48 day drying period under active aeration. Chlorination of the simulated MT effluent with a mixture of sodium dichloroisocyanurate and trichloroisocyanuric acid decreased the faecal coliform concentrations (FC) and the total coliform concentrations (TC) below 800 CFUs/100 ml within 65 h. Beyond 65 h, the pH of the effluent became highly acidic. To maintain optimum performance influent should be fed into the MT system at least once every 5 days, sufficient aeration should be guaranteed, and the MT effluent should be chlorinated for 65 h to eliminate all pathogens before any reuse

Mulch tower treatment system Part I: Overall performance in greywater treatment

A mulch tower (MT) system for greywater treatment is introduced in this paper. Materials used to assemble the MT system included mulch, coarse sand, fine and coarse gravel. Limited removal efficiency of the MT system was demonstrated for alkalinity, total hardness, pH, Cl–, PO43–, NH4+, and SO42–, with the estimated cumulative removals ranging from 7 to 12%. Intermediate removal efficiency was observed for chemical oxygen demand (COD), NO3–, and S2– with the estimated cumulative removals ranging from 24 to 28%. The highest removal efficiency was observed for the total suspended solids (TSS) with the estimated cumulative removal equal to 52%. Given the minute residence time in the MT system, the results obtained were promising and justify scale-up studies for potential on-site applications. The MT effluent did not meet hygienic norms with respect to the faecal coliform concentration (FC) and the total coliform concentration (TC), and further effluent treatment is required before any discharge or reuse of the treated greywater. Further research should focus on characterisation of the microbial community of the MT, and the fate of Cl–, PO43–, NH4+, and SO42–

Disaster management policy options to address the sanitation challenges in South Africa

The current population of South Africa has been migrating into informal urban settlements that lack adequate sanitation service delivery, caused at least in part by the lack of the necessary skills in the local government sector and the lack of buy in from the community into the provided sanitation facilities. The authors report results of policy research into the relevant disaster management options that could be applied to improve the sanitation service delivery in South Africa. The best policy option was identified as the draft Disaster Management Regulations: Disaster Management. Local government can use these tools through the formation of the volunteer units from the nongovernmental organization sector, the business community, and from among the end users of sanitation facilities. Formation of the volunteer unit should follow the principles of cooperative governance and participatory approach to disaster management. Implementation should be facilitated through the adoption of locally specific municipal by laws

Disaster management policy options to address the sanitation challenges in South Africa

The current population of South Africa has been migrating into informal urban settlements that lack adequate sanitation service delivery, caused at least in part by the lack of the necessary skills in the local government sector and the lack of buy in from the community into the provided sanitation facilities. The authors report results of policy research into the relevant disaster management options that could be applied to improve the sanitation service delivery in South Africa. The best policy option was identified as the draft Disaster Management Regulations: Disaster Management. Local government can use these tools through the formation of the volunteer units from the nongovernmental organization sector, the business community, and from among the end users of sanitation facilities. Formation of the volunteer unit should follow the principles of cooperative governance and participatory approach to disaster management. Implementation should be facilitated through the adoption of locally specific municipal by laws

Thigh-length compression stockings and DVT after stroke

Controversy exists as to whether neoadjuvant chemotherapy improves survival in patients with invasive bladder cancer, despite randomised controlled trials of more than 3000 patients. We undertook a systematic review and meta-analysis to assess the effect of such treatment on survival in patients with this disease